English

Abstract

AIMS: Though there are so many methods in repair of hernia, no one is exempted from complications hence surgery on hernia is still a challenging subject. The objectives of this study are to study the incidence and different modes of presentation of inguinal hernia, to compare between mesh repair and Bassini's repair in relation to hernia recurrence. METHODOLOGY: 60 cases of inguinal hernia who were admitted in various surgical units of K.R. Hospital, Mysore from JAN 2008 to JULY 2009 were selected randomly for study. All complicated inguinal hernias were excluded from the study. Sixty cases of inguinal hernia (30 mesh repair, 30 Bassini's repair) were randomly selected and studied in detail. .The data was analysed by using standard statistical methods. RESULTS: K. R. Hospital incidence of inguinal hernia in is 8.3%. sex ratio: M:F::19:1. Smoking is the major risk factor. 43.3% came to the hospital after one year of onset of symptoms. 55% of the patients had right sided hernia. The mean hospital stay in conventional repair is 6.8 days and mean hospital stay in mesh repair is 5.6 days. The postoperative complications were more in patients who underwent conventional repair. 80-85% of patients were followed up for 3 years. One recurrence was noted in Bassini's repair group and no recurrence in mesh repair group. 13% developed chronic groin pain following mesh repair, whereas 23% developed chronic groin pain after Bassini's repair. CONCLUSION: Lichtenstein mesh repair has significantly reduced complications, less hospital stay, low recurrence rate, less duration of surgery and early return to work when compared to the conventional repair & is cost effective.